Thermoregulatory responses during road races in hot-humid conditions at the 2019 Athletics World Championships.

The purpose of this study was to characterize thermoregulatory and performance responses of elite road-race athletes, while competing in hot, humid, night-time conditions during the 2019 IAAF World Athletic Championships. Male and female athletes, competing in the 20 km racewalk (n = 20 males, 24 females), 50 km racewalk (n = 19 males, 8 females), and marathon (n = 15 males, 22 females) participated. Exposed mean skin (Tsk) and continuous core body (Tc) temperature were recorded with infrared thermography and ingestible telemetry pill, respectively. The range of ambient conditions (recorded roadside) was 29.3°C-32.7°C air temperature, 46%-81% relative humidity, 0.1-1.7 m·s-1 air velocity, and 23.5°C-30.6°C wet bulb globe temperature. Tc increased by 1.5 ± 0.1°C but mean Tsk decreased by 1.5 ± 0.4°C over the duration of the races. Tsk and Tc changed most rapidly at the start of the races and then plateaued, with Tc showing a rapid increase again at the end, in a pattern mirroring pacing. Performance times were between 3% and 20% (mean = 113 ± 6%) longer during the championships compared with the personal best (PB) of athletes. Overall mean performance relative to PB was correlated with the wet-bulb globe temperature (WBGT) of each race (R2 = 0.89), but not with thermophysiological variables (R2 ≤ 0.3). As previously reported in exercise heat stress, in this field study Tc rose with exercise duration, whereas Tsk showed a decline. The latter contradicts the commonly recorded rise and plateau in laboratory studies at similar ambient temperatures but without realistic air movement.NEW & NOTEWORTHY This paper provides a kinetic observation of both core and skin temperatures in 108 elite athletes, during various outdoor competition events, adding to the very limited data so far available in the literature taken during elite competitions. The field skin temperature findings contrast previous laboratory findings, likely due to differences in relative air velocity and its impact on the evaporation of sweat. The rapid rise in skin temperature following cessation of exercise highlights the importance of infrared thermography measurements being taken during motion, not during breaks, when being used as a measurement of skin temperature during exercise.

Mechanical asymmetries remain low-to-moderate during 30 min of self-paced treadmill running.

Introduction: We characterized the magnitude and range of gait asymmetry during self-paced treadmill running. Methods: On an instrumented treadmill, twelve trained runners (11 males, 1 female) completed a 30-min self-paced run, during which participants were instructed to cover the most distance possible. Ground reaction force recordings at a constant velocity corresponding to 70% of their maximal aerobic velocity (13.3 ± 0.8 km.h-1) allowed for the measurement of running kinetics and kinematics, as well as the calculation of spring-mass characteristics at the beginning, middle, and end of the run (minutes 1, 14, and 29, respectively). Group mean asymmetry scores were assessed using the "symmetry angle" (SA) formulae, where scores of 0% and 100% represent perfect symmetry and perfect asymmetry, respectively. Results: There was no time effect on SA scores for any of the 13 biomechanical variables (p ≥ 0.128). Mean SA scores were <2.5% for contact time (0.8% ± 0.7%), flight time (1.4% ± 0.6%), step frequency (0.7% ± 0.3%), duty factor (0.7% ± 0.3%), duration of braking (1.3% ± 0.7%) and push-off phases (0.9% ± 0.8%), as well as peak braking (2.3% ± 1.3%) and push-off forces (1.4% ± 0.9%). Mean SA scores were ≥2.5% for peak vertical loading rate (3.1% ± 1.7%), mean vertical loading rate (3.4% ± 2.1%), peak vertical forces (2.9% ± 2.2%), as well as vertical stiffness (5.2% ± 3.5%) and leg stiffness (2.5% ± 1.5%). Conclusion: Throughout a 30-min running time trial, there were consistently low-to-moderate mechanical asymmetries for spatiotemporal variables, kinetics, and spring-mass model characteristics. This suggests that trained runners maintained relatively even strides during the self-paced treadmill run, with lower extremities behaving similarly when controlling for velocity.

Association between thermal responses, medical events, performance, heat acclimation and health status in male and female elite athletes during the 2019 Doha World Athletics Championships.

PURPOSE: To determine associations between thermal responses, medical events, performance, heat acclimation and health status during a World Athletics Championships in hot-humid conditions. METHODS: From 305 marathon and race-walk starters, 83 completed a preparticipation questionnaire on health and acclimation. Core (Tcore; ingestible pill) and skin (Tskin; thermal camera) temperatures were measured in-competition in 56 and 107 athletes, respectively. 70 in-race medical events were analysed retrospectively. Performance (% personal best) and did not finish (DNF) were extracted from official results. RESULTS: Peak Tcore during competition reached 39.6°C±0.6°C (maximum 41.1°C). Tskin decreased from 32.2°C±1.3°C to 31.0°C±1.4°C during the races (p<0.001). Tcore was not related to DNF (25% of starters) or medical events (p≥0.150), whereas Tskin, Tskin rate of decrease and Tcore-to-Tskin gradient were (p≤0.029). A third of the athletes reported symptoms in the 10 days preceding the event, mainly insomnia, diarrhoea and stomach pain, with diarrhoea (9% of athletes) increasing the risk of in-race medical events (71% vs 17%, p<0.001). Athletes (63%) who performed 5-30 days heat acclimation before the competition: ranked better (18±13 vs 28±13, p=0.009), displayed a lower peak Tcore (39.4°C±0.4°C vs 39.8°C±0.7°C, p=0.044) and larger in-race decrease in Tskin (-1.4°C±1.0°C vs -0.9°C±1.2°C, p=0.060), than non-acclimated athletes. Although not significant, they also showed lower DNF (19% vs 30%, p=0.273) and medical events (19% vs 32%, p=0.179). CONCLUSION: Tskin, Tskin rate of decrease and Tcore-to-Tskin gradient were important indicators of heat tolerance. While heat-acclimated athletes ranked better, recent diarrhoea represented a significant risk factor for DNF and in-race medical events.

Hydration and cooling in elite athletes: relationship with performance, body mass loss and body temperatures during the Doha 2019 IAAF World Athletics Championships.

PURPOSE: To characterise hydration, cooling, body mass loss, and core (Tcore) and skin (Tsk) temperatures during World Athletics Championships in hot-humid conditions. METHODS: Marathon and race-walk (20 km and 50 km) athletes (n=83, 36 women) completed a pre-race questionnaire. Pre-race and post-race body weight (n=74), Tcore (n=56) and Tsk (n=49; thermography) were measured. RESULTS: Most athletes (93%) had a pre-planned drinking strategy (electrolytes (83%), carbohydrates (81%)) while ice slurry was less common (11%; p<0.001). More men than women relied on electrolytes and carbohydrates (91%-93% vs 67%-72%, p≤0.029). Drinking strategies were based on personal experience (91%) rather than external sources (p<0.001). Most athletes (80%) planned pre-cooling (ice vests (53%), cold towels (45%), neck collars (21%) and ice slurry (21%)) and/or mid-cooling (93%; head/face dousing (65%) and cold water ingestion (52%)). Menthol usage was negligible (1%-2%). Pre-race Tcore was lower in athletes using ice vests (37.5°C±0.4°C vs 37.8°C±0.3°C, p=0.024). Tcore (pre-race 37.7°C±0.3°C, post-race 39.6°C±0.6°C) was independent of event, ranking or performance (p≥0.225). Pre-race Tsk was correlated with faster race completion (r=0.32, p=0.046) and was higher in non-finishers (did not finish (DNF); 33.8°C±0.9°C vs 32.6°C±1.4°C, p=0.017). Body mass loss was higher in men than women (-2.8±1.5% vs -1.3±1.6%, p<0.001), although not associated with performance. CONCLUSION: Most athletes' hydration strategies were pre-planned based on personal experience. Ice vests were the most adopted pre-cooling strategy and the only one minimising Tcore, suggesting that event organisers should be cognisant of logistics (ie, freezers). Dehydration was moderate and unrelated to performance. Pre-race Tsk was related to performance and DNF, suggesting that Tsk modulation should be incorporated into pre-race strategies.

Assessment of acute neuromuscular fatigue manifestations and functional performances after heavy resistance exercise.

BACKGROUND: This study aimed to assess neuromuscular fatigue after heavy resistance exercise in rugby players. METHODS: Twelve male rugby players performed five sets of knee extension exercise lifting 80% of their one repetition maximum until failure, with 3min of rest in-between. Maximal voluntary contraction (MVC) and surface electromyographic activity from quadriceps muscles, as well as ions (i.e., Na+, K+, and Cl-) and metabolic responses (i.e., blood lactate and ammonia concentrations) were measured before and after exercise. Maximum repetitions performance and both peripheral (RPEp) and overall body (RPEo) rating of perceived exertion were recorded following each set. RESULTS: The number of maximum repetitions decreased significantly across sets (P<0.001). Both RPEp and RPEo increased significantly across sets (P<0.001) with higher RPEp values after each set (P<0.001). Both RPEp (r=-0.98, P<0.01) and RPEo (r=-0.99, P<0.001) were negatively correlated with the changes in the number of maximum repetitions. MVC (P<0.001), root mean square (P<0.05), and neuromuscular efficiency (P<0.01) as well as Na+ (P<0.01), Cl- (P<0.001) and blood concentrations of lactate (P<0.001) and ammonia (P<0.001) increased significantly after the exercise. However, K+ (P<0.001) increased after the resistance exercise. CONCLUSIONS: Heavy resistance exercise affected both objective (i.e., neuromuscular and biochemical parameters) and subjective (i.e., RPE) aspects of neuromuscular fatigue.

Heat stress impairs proprioception but not running mechanics.

OBJECTIVES: To determine the effects of heat stress on ankle proprioception and running gait pattern. DESIGN: Counterbalanced repeated measures. METHODS: 12 trained runners performed a proprioception test (active movement discrimination) before and immediately after a 30min, self-paced treadmill run in HOT (39°C) and COOL (22°C) ambient conditions. Velocity was imposed during the first and last minute (70% of maximal aerobic velocity, 13.3±0.8kmh-1) for determination of running mechanics and spring-mass characteristics. RESULTS: Rectal (39.7±0.4 vs. 39.4±0.4°C), skin (36.3±1.1 vs. 31.8±1.1°C) and average body (38.3±0.2 vs. 36.4±0.4°C) temperatures together with heart rate (178±8 vs. 174±6bpm) and thermal discomfort (6.5±0.5 vs. 4.3±1.3) were all higher at the end of the HOT compared to COOL run (all p<0.05). Distance covered was lower in HOT than COOL (-5.1±3.6%, p<0.001). Average error during the proprioception test increased after running in HOT (+11%, p<0.05) but not in COOL (-2%). There was no significant difference for most segmental and joint angles at heel contact, except for a global increase in pelvis retroversion and decrease in ankle dorsi-flexion angles with time (p<0.05). Step frequency decreased (-2.5±3.6%) and step length increased (+2.6±3.8%) over time (p<0.05), independently of condition. Spring-mass characteristics remained unchanged (all p>0.05). CONCLUSIONS: Heat stress exacerbates thermal, cardiovascular and perceptual responses, while running velocity was slower during a 30min self-paced treadmill run. Heat stress also impairs ankle proprioception during an active movement discrimination task, but it has no influence on gait pattern assessed at a constant, sub-maximal velocity.

Hyperthermia-induced Neural Alterations Impair Proprioception and Balance.

PURPOSE: Hyperthermia has been shown to affect both central and peripheral nervous systems. However, the consequences of these alterations on the proprioceptive mechanisms underlying human movement control remain unclear. The aim of this study was to investigate the effect of passive hyperthermia on various measures of proprioception and balance, two key components of injury prevention and movement efficiency. METHODS: After a familiarization session, 14 volunteers (8 males, 6 females) completed two experimental sessions in temperate (CON, 24°C) and hot (HOT, 44°C-50°C) conditions, in a counterbalanced order. Participants were tested for neural function (electrically evoked M-wave and Hoffman reflex, Soleus), active movement discrimination (five positions, 50 trials, dorsiflexion), dynamic balance (Star Excursion Balance Test, three directions), and static balance (single-leg stance). RESULTS: Both rectal (39.0°C ± 0.3°C vs 36.9°C ± 0.6°C) and mean skin (37.9°C ± 1.0°C vs 32.0°C ± 2.7°C) temperatures were significantly higher in HOT than CON (P < 0.05). Hyperthermia significantly reduced the Hoffman reflex (P < 0.05) but not the M-wave (P > 0.05) amplitudes, increased the mean error for active movement discrimination (0.58°± 0.13° vs 0.50° ± 0.11°, +17%, P < 0.05), decreased the average distance reached in the posteromedial direction during dynamic balance (88.6 ± 7.9 cm vs 90.9 ± 6.1 cm, P < 0.05), and increased the contact area of the foot (126 ± 14 cm vs 122 ± 13 cm, +2.7%, P < 0.05) and the center of pressure excursion (64 ± 14 vs 57 ± 9 cm, +11.1%, P < 0.10) during single-leg stance. CONCLUSIONS: The current study suggests that hyperthermia impairs the proprioception and balance parameters measured. These observations might be due to heat-induced alterations in efferent and afferent signals to and from the muscle.

Effect of Cold on Proprioception and Cognitive Function in Elite Alpine Skiers.

PURPOSE: To determine the effect of cold ambient conditions on proprioception and cognitive function in elite alpine skiers. METHODS: 22 high-level alpine skiers and 14 control participants performed a proprioceptive-acuity (active movement-extent discrimination) and a cognitive (planning task) test in cold (8°C) and temperate (24°C) ambient conditions. RESULTS: All participants displayed an increase in thermal discomfort and the amount of negative affects in the cold environment (all P < .05). Average proprioceptive acuity was significantly better in the elite skiers (0.46° ± 0.12°) than in the control group (0.55° ± 0.12°) (P < .05) and was not affected by cold ambient conditions, except for a shift in the pattern of error (over- vs underestimation, P < .05). Cognitive performance was similar between elite skiers and control participants in temperate environments but decreased in the cold in the control group only (P < .05) becoming lower than in elite skiers (P < .05). CONCLUSION: Elite alpine skiers showed a significantly better proprioceptive acuity than a control population and were able to maintain their performance during a cognitive task in a cold environment.